Alan McCool

ICONA Health is a hormone clinic in Birmingham that Dr. McCool founded with his wife, after a year in which her own perimenopause went unrecognized and hormone therapy turned it around. He came to this work as a board-certified urologist who noticed that men were offered testosterone quickly while women in perimenopause were passed over, so he trained in women's hormone health. Care begins with a consultation about your symptoms, history and goals, and labs can be drawn at that first visit with treatment sometimes starting the same day. Anyone who continues joins a monthly membership that covers lab monitoring, follow-up visits, refills and messaging between visits, with a check-in every three to six months. Treatment plans draw on estrogen, progesterone, testosterone, vaginal estrogen and weight loss medication, and they will use pellets when they suit someone, though they say they are not a pellet-only clinic and often start women on a testosterone cream instead. They are a specialty clinic rather than primary care, so they ask you to keep your own regular doctor.

Care is by membership, and visits aren’t billed to insurance.

MD, MSCP